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How Can Improved Competition Lead To Lower Drug Prices?, Youkavet Samih 2018 University of Massachusetts Medical School

How Can Improved Competition Lead To Lower Drug Prices?, Youkavet Samih

Commonwealth Medicine Publications

In this installment of our blog series on "President Trump's Blueprint to Lower Drug Prices and Reduce Out-Of-Pocket Costs," our pharmacy expert Youkavet Samih discusses how creating drug competition drives down prices for consumers.


Determinants Of Usaid Spending, Austin J. Moser 2018 Illinois State University

Determinants Of Usaid Spending, Austin J. Moser

Stevenson Center for Community and Economic Development to Stevenson Center for Community and Economic Development—Student Research

This paper examines the determinants of USAID’s foreign aid disbursements from 2002-2016. Three noteworthy findings emerge. First, USAID foreign aid is based more on political considerations rather than the policies of recipient countries. Second, foreign aid is determined by location and political history. Third, this pattern emerges across all categories of USAID disbursements.


Hiring Workers With Disabilities Makes Sense Whether The Job Market Is Hot Or Cold, Kathleen A. Petkauskos 2018 University of Massachusetts Medical School

Hiring Workers With Disabilities Makes Sense Whether The Job Market Is Hot Or Cold, Kathleen A. Petkauskos

Commonwealth Medicine Publications

The U.S. Department of Labor released its latest report in September, and it was more of the same. Unemployment remained at 3.9 percent, where it has hovered for much of the year, but there was a shift for one key demographic.

After decades of struggle, workers with disabilities are beginning to move the needle, outpacing the employment gains of people without disabilities. In August 2018, the employment-to-population ratio for working-age people with disabilities jumped to 30.2 percent from 29.5 percent the year before. The labor force participation rate for working-age people with disabilities also increased, rising ...


Utilization Management Programs Are Critical For Effective Mltss Programs, Jessica Carpenter 2018 University of Massachusetts Medical School

Utilization Management Programs Are Critical For Effective Mltss Programs, Jessica Carpenter

Commonwealth Medicine Publications

When discussing an efficient managed long-term services and supports (LTSS) program, the importance of a utilization management program cannot be overlooked. It’s a way to not only ensure individuals receive the high-quality services they need, but also realize substantial cost savings for payers.


Kisumu County Hospital Patient Demographic Analysis: Looking Toward Universal Health Coverage, Lauren Scheffey 2018 SIT Study Abroad

Kisumu County Hospital Patient Demographic Analysis: Looking Toward Universal Health Coverage, Lauren Scheffey

Independent Study Project (ISP) Collection

Universal health coverage is priority sought after by developed and developing nations alike, and Kenya sits on the list of countries seeking to achieve this goal in the coming years. The definition of “coverage” can vary by country, but three criteria are commonly found in the discussion of UHC globally: access, affordability, and quality. Affordability is determined by the state’s healthcare financing system; quality refers to the services provided by health facilities; and access, at least in part, concerns the geographic placement of health services providers in relation to the population they intend to serve. This geographic element is ...


Does Health Insurance Make People Happier? Evidence From Massachusetts’ Healthcare Reform, Seonghoon KIM, Kanghyock KOH 2018 Singapore Management University

Does Health Insurance Make People Happier? Evidence From Massachusetts’ Healthcare Reform, Seonghoon Kim, Kanghyock Koh

Research Collection School Of Economics

We study the effects of Massachusetts' healthcare reform on individuals' subjective well-being. Using data from the Behavioral Risk Factor Surveillance System, we find that the reform significantly improved Massachusetts residents' overall life-satisfaction. This result is robust to various sensitivity checks and a falsification test. We also find that the reform improved mental health. An additional analysis on the Tennessee healthcare reform supports our findings' external validity. Using the reform as an instrument for health insurance coverage, we estimate its large impact on overall life-satisfaction. Our results provide novel evidence on the psychological consequences of Massachusetts' healthcare reform.


A View Of The Drug Pricing Blueprint, Bonnie C. Greenwood 2018 University of Massachusetts Medical School

A View Of The Drug Pricing Blueprint, Bonnie C. Greenwood

Commonwealth Medicine Publications

Drug spend is predicted to experience the fastest annual growth between 2017-2026 compared to other health care goods and services.Contributing factors include increasing unit prices of branded and generic medications, growth of the specialty drug market, and greater numbers of people with access to prescription drug coverage. A recent analysis estimates total drug expenditures in 2016 to be $480 billion when accounting for gross profits of intermediaries in the distribution chain, such as wholesalers, pharmacy benefit managers (PBMs), and pharmacies. Certainly, the complexity of the drug distribution and reimbursement system and lack of pricing transparency can be viewed both ...


The Impact Of Cleft Lip And Palate Repair Surgery On Cognitive And Academic Outcomes For Teens In India, R Jeremiah Maller 2018 The University of San Francisco

The Impact Of Cleft Lip And Palate Repair Surgery On Cognitive And Academic Outcomes For Teens In India, R Jeremiah Maller

Master's Theses

India has a backlog of nearly one million patients in need of cleft lip and palate repair. Unrepaired cleft results in social stigma and diminished health, psychological wellbeing, and academic functioning. Cleft repair surgery has the potential to restore functioning in these domains. However, the magnitude of the social, educational, and economic impact of cleft repair surgery has not been evaluated using statistically rigorous methods. An estimation of the academic and educational impact of cleft repair has implications for the appropriate allocation of public health resources. We analyze original data gathered from teenagers in West Bengal, India using the difference-in-differences ...


Case Files Key To Comprehensive Medical Board Reviews, Jody Simpson 2018 University of Massachusetts Medical School

Case Files Key To Comprehensive Medical Board Reviews, Jody Simpson

Commonwealth Medicine Publications

There are many obstacles public retirement systems must overcome to ensure clinically sound medical board recommendations. Complex medical records that describe various conditions and ailmentsmust be compiled and analyzed to make accurate recommendations. There are key elements to inform a successful medical board review, and chief among them is compiling robust, well-documented case files. If you begin the process with incomplete documentation, you run the risk of getting a partial clinical picture of the member. Not having a full clinical picture could make it difficult to achieve a fully-informed decision.


Health And Healthcare In Nepal: An Analysis Of The Private And Public Sector, Sujita Pandey 2018 University of Maine

Health And Healthcare In Nepal: An Analysis Of The Private And Public Sector, Sujita Pandey

Electronic Theses and Dissertations

Through private and public efforts, there has been considerable improvement in the health and healthcare sector in Nepal. However, the healthcare system in Nepal faces challenges such as limited access and lack of quality healthcare. Although there have been recent efforts to introduce universal healthcare coverage, there is limited evidence on existing systems to properly formulate a policy. To provide a wholistic review of the Nepali health system, we assess both public and private sectors. In 2005, Nepal introduced a financial incentive, called the Safe Delivery Incentive Program, to increase the use of maternity care with the goal of reducing ...


Bringing Data Into Focus To Optimize Benefits And Savings For Medicare-Medicaid Members, Jenifer Hartman 2018 University of Massachusetts Medical School

Bringing Data Into Focus To Optimize Benefits And Savings For Medicare-Medicaid Members, Jenifer Hartman

Commonwealth Medicine Publications

Dual eligible recipients represent a critical population for state Medicaid programs. To get a better understanding of this unique demographic, MassHealth partnered with UMass Medical School to design data analytics programs around the objective of protecting Medicaid as the payer of last resort.

Over the last three years, these programs achieved over $68 million in new savings by optimizing benefits for dual eligible members. The program also identified and recovered over $21 million in Medicare premium overpayments for Medicaid members with discrepancies in Medicare entitlement and premium charges.

Jenifer Hartman of the Center for Healthcare Financing presented UMass Medical School ...


Managed Long-Term Services And Supports Program Framework: Best Practices, Jessica Carpenter 2018 University of Massachusetts Medical School

Managed Long-Term Services And Supports Program Framework: Best Practices, Jessica Carpenter

Commonwealth Medicine Publications

Health plans and accountable care organizations are working with Medicaid programs to transition fee-for-services long-term services and supports (LTSS) to a managed care model known as managed LTSS. With more individuals with disabilities seeking to living in their own homes or in community settings, payers must take proactive steps to ensure individuals receive the right service and in the right setting. This white paper details the actions health plan decision makers should consider while developing a comprehensive managed LTSS program.


Sne-Ptn Attends Cms Transforming Clinical Practice Initiative National Expert Panel 2018, Jay Flanagan 2018 Southern New England Practice Transformation Network

Sne-Ptn Attends Cms Transforming Clinical Practice Initiative National Expert Panel 2018, Jay Flanagan

Commonwealth Medicine Publications

Practice transformation networks from across the country are going public with their successful results on patients and clinical practices. UMass Medical School’s Southern New England Practice Transformation Network (SNE-PTN) was one of the networks sharing its positive outcomes.


The Effects Of The Aca’S Medicaid Expansion And Woodwork Effect On Hospital Finances, Azemina Redzematovic 2018 CUNY Hunter College

The Effects Of The Aca’S Medicaid Expansion And Woodwork Effect On Hospital Finances, Azemina Redzematovic

School of Arts & Sciences Theses

With many individuals enrolled in Medicaid through the ACA Medicaid expansion and woodwork effect, this paper estimates the effects on utilization of hospital services and hospital finances. Using a difference-in-differences (DD) instrumental variables model, the results that suggest that increased Medicaid demand does not necessarily equate to increased profits.


The Role Of Health Care In Criminal Justice Reform, Julie White 2018 University of Massachusetts Medical School

The Role Of Health Care In Criminal Justice Reform, Julie White

Commonwealth Medicine Publications

Mass incarceration continues to be problem in United States with over 2.2 million people incarcerated, costing approximately $80 billion in taxes annually. As a result of the coalescence of social policy researchers, restorative justice policies, civil rights activists, and economists, there is recognition that incarceration is not a financially sustainable ‘solution’ to crime.


Aging, Depression, Non-Communicable Diseases And Disabilities In South Africa, Manoj K. Pandey, Vani S. Kulkarni, Raghav Gaiha 2018 Australian National University

Aging, Depression, Non-Communicable Diseases And Disabilities In South Africa, Manoj K. Pandey, Vani S. Kulkarni, Raghav Gaiha

Population Center Working Papers (PSC/PARC)

This is the first study that offers a comprehensive analysis of depression among the old (60+ years) in South Africa. This study uses four waves of a panel survey of the South Africa National Income Dynamics Study (SA-NIDS) during 2008-2014. A state-of-art econometric methodology has been used to unravel the factors underlying depression among the old over the period 2008-2014. Depending on whether the dependent variable is binary (self-reported depression for ≥ 3 days in a week) or continuous (as in measures of overall depression and severe depression), we use random effects probit with Mundlak adjustment or simply random effects with ...


Public Retirement System Medical Board Reviews: Elements Of Success, Jody Simpson 2018 University of Massachusetts Medical School

Public Retirement System Medical Board Reviews: Elements Of Success, Jody Simpson

Commonwealth Medicine Publications

Comprehensive evaluations of disability benefit applications is a vital responsibility for public retirement systems. Incomplete or incorrect evaluations can lead to costly mistakes in both financial and human terms. The Disability Evaluation Services team shares an framework for success public retirement systems can use to ensure their Medical Boards receive disability determinations that are complete and clinically sound.


The Fight For Birth, Jessica E. Brown 2018 University of Nevada, Las Vegas

The Fight For Birth, Jessica E. Brown

Research Briefs

No abstract provided.


High-Frequency Internet Survey Of A Probability Sample Of Older Singaporeans: The Singapore Life Panel, Rhema VAITHIANATHAN, Bryce HOOL, Michael D. HURD, Susann ROHWEDDER 2018 Singapore Management University

High-Frequency Internet Survey Of A Probability Sample Of Older Singaporeans: The Singapore Life Panel, Rhema Vaithianathan, Bryce Hool, Michael D. Hurd, Susann Rohwedder

Research Collection School Of Economics

Facing a rapidly ageing population, Singapore is presented with urgent policy challenges. Yet there is very little data on the economic, health and family circumstances of older Singaporeans. In response, the Centre for Research on the Economics of Ageing (CREA) at Singapore Management University has been collecting monthly data on a panel of Singaporeans aged between 50 and 70 years. We detail the methodology by which the Singapore Life Panel® (SLP) was constructed using a population-representative sampling frame from the Singapore Department of Statistics. Contact was made with 25,000 households through postal, phone and in-person canvassing. More than 15 ...


Regional Prevalence Of Health Worker Absenteeism In Tanzania, Tomoki FUJII 2018 Singapore Management University

Regional Prevalence Of Health Worker Absenteeism In Tanzania, Tomoki Fujii

Research Collection School Of Economics

Absenteeism of health workers in developing countries is common and can severely undermine the reliability of health system. Therefore, it is important to understand where the prevalence of absenteeism is high. We develop a simple imputation method that combines a Service Delivery Indicators survey and a Service Provision Assessment survey to estimate the prevalence of absenteeism of health workers at the level of regions in Tanzania. The resulting estimates allow one to identify the regions in which the prevalence of absenteeism is significantly higher or lower than the national average and help policymakers determine the priority areas for intervention.


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